Is there any way that I could alleviate the tip of my nose besides rhinoplasty? (photos)

Question

Is there any alternative to rhinoplasty like nose exercises because I don't mind the hump on my my nose but the plunging tip bothers me. Is there any way that I could alleviate the tip of my nose besides rhinoplasty?

Jason Emer, MD · Answer

Hello and thank you for your question. Unfortunately no, there are no non-surgical exercises that can take the place of surgery, especially in your situation. It sounds like your biggest concern is your dorsal hump and the fact your tip appears slightly drooping, as you mentioned. These are due to the underlying anatomy present- a combination of your nasal bones and cartilage which makes the structural framework of your nose- there are no exercises which can address this, however, addressing the shape of the nose is actually one of the most common reasons people seek out and undergo a rhinoplasty procedure.

In addition to addressing your aesthetic concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

Eric M. Joseph, MD · Answer

In our experience, injectable fillers may not be suitable for elevating a droopy nasal tip appearance. When somebody's nasal tip is droopy, tip plasty is necessary to deconstruct the tip and reconstruct the tip in a more favorable configuration. Thank you for your question. Sincerely, Dr. Joseph

Nelson Lee Novick, MD · Answer

Fillers, in small amounts, with or without the additional of microdroplets of Botox, have been used by experienced cosmetic dermatologists for years for elevating droopy nasal tips. Both treatments, which can be performed in the same treatment session, if necessary and desired, in experienced hands, should take no more than a total of five minutes Hope this helps. Best of luck.

Ronald J. Edelson, MD · Answer

Your tip can be raised but it will work best if you have the hump removed as well. If the hump is not removed the tip will drop again and look worse

Is there any way that I could alleviate the tip of my nose besides rhinoplasty? (photos)

Answers (4)

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